CMS-1500 Box 24J / 33a • NPI
1164872701
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
1401 WHITEHORSE MERCERVILLE RD STE 219, HAMILTON, NJ, 08619-3835
✓ 9-Digit EDI 837 ZIP+4 (08619-3835)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1164872701 (ROSELINE IYABODE ADUNBARIN, DNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1164872701)
Medicare Beneficiaries
143
Total Billed Services
378
Distinct CPT/HCPCS Codes
7
Medicare Allowed Total
$25,317.56
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 |
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 22 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 128 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 65 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 133 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1164872701 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ROSELINE IYABODE ADUNBARIN, DNP |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1401 WHITEHORSE MERCERVILLE RD STE 219, HAMILTON, NJ, 08619-3835 |
| Practice Telephone / Fax | Tel: (609) 581-5150 | Fax: (609) 584-5144 |
| Administrative Mailing Address | 7515 STENTON AVE, PHILADELPHIA, PA, 19150-3710 |
| Enumeration & Last Sync | Enumerated: 2016-06-14 | CMS Record Updated: 2021-04-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ROSELINE IYABODE ADUNBARIN, DNP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: NJ | License: 26NJ00730400 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: NJ | License: 26NJ00730400 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: PA | License: SP016235 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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